The Types of Laser Eye Surgery
In recent years, new surgical techniques have been developed to correct eyesight and to reduce the requirement for wearing glasses. Laser eye surgery, as this surgery is commonly known, involves the reshaping of the cornea. The cornea is the transparent surface located near to the front of the eye.
There are many different types of vision problems. The most common types are: short-sightedness (myopia), long-sightedness (hypermetropia), and astigmatism. Regardless of the type of vision problem to be treated, the same type of laser, referred to as an excimer laser, is used during laser eye surgery.
The Types of Laser Eye Surgery
There are four main types of laser eye surgery:
Photorefractive Keratectomy (PRK)
PRK has been carried out by surgeons since the late 1980s yet since the development of new techniques, such as LASIK and LASEK, PRK is now mainly used for the correction of a low degree of short-sightedness. In PRK, the cornea is reshaped with the help of an excimer laser. However, a flap of corneal tissue is not cut during this procedure.
Laser in Situ Keratomileusis (LASIK)
LASIK has been carried out since the mid-1990s. The majority of types of refractive error are able to be corrected through LASIK. However, the procedure may not be suitable for the correction of a high degree of short-sightedness. During LASIK, surgeons make an incision across the cornea and create a flap of tissue. This tissue is then raised and the exposed surface reshaped with the excimer laser. Following laser treatment, the flap is replaced. A typical LASIK eye treatment lasts around four minutes in duration.
Laser Epithelial Keratomileusis (LASEK)
LASEK is not dissimilar to PRK. However, the surface layer of the cornea, known as the epithelium, is retained as a flap. This retention of the epithelium is believed to prevent complications following surgery and may also reduce healing times.
Wavefront-guided LASIK
Wavefront-guided LASIK lessens the eye’s natural irregularities. These irregularities can cause the insufficient focusing of light rays and can hence improve vision following surgery.
Patients considering laser eye surgery should consult with their eye surgeon to determine the best way in which to correct vision, and the benefits and drawbacks of the use of eye glasses, contact lenses and laser eye surgery.
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The Risks of Laser Eye Surgery
The complications of laser eye surgery occur in fewer than five percent of cases. Patients wishing to undergo laser eye surgery will find that their chosen surgeon will discuss the risks of treatment with them.
Some people who undergo laser eye surgery may experience problems with dry eyes following surgery. Artificial tear supplements may therefore be required following surgery to prevent dry eyes. Many patients who have just undergone laser eye surgery will experience glare or halo effects when they are operating a vehicle during the night. This halo effect is increasingly likely to occur if a high degree of short-sightedness or long-sightedness has been corrected with surgery. The effect is usually only temporary and is rarely severe.
In rare cases, surgery can cause thinning of the eye wall. This can render the shape of the eye relatively unstable following treatment. Severe vision loss following surgery is very unusual. However, patients who experience vision loss may require further surgery to help to restore their vision. Alternatively, they may require the use of hard contact lenses.
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